Training programmes

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This section provides a range of useful training programmes which are available to NHS organisations. These are chargeable, however, organisations may be eligible for funding from local and national stakeholders to support with implementation.

Training programme Brief summary
AMBER care bundle
Guy's and St Thomas' NHS Foundation Trust
This is a simple tool which has already been piloted across 30 hospitals in England. It combines identification questions, four clinical interventions and monitoring that can be applied in adult ward settings to identify a patient whose recovery is not certain. It helps staff to start conversations earlier with patients and their families about what care they would prefer at the end of life. Training includes one-to-one teaching on the ward and more formal lectures. The key element to this training is that staff have somebody they can contact with queries and who can support them with sensitive conversations.
Building on the best
National Council of Palliative Care 

Currently being piloted in ten acute settings, this quality improvement programme looks to build on NHS Improving Quality's transforming end-of-life care in acute hospitals programme, as well as other learning from the UK and internationally. It continues to align with five key enablers within the transform programme. These are advance care planning, the AMBER care bundle, electronic palliative care coordination systems, rapid discharge and priorities for care in the last days of life as key elements of quality improvement in end-of-life care.
Care to learn
National Council of Palliative Care
This training booklet provides an introduction to good practice and is aimed at health care assistants and front line staff across all care settings. Service and line managers may also find it useful to select modules for induction or refresher training. There is an accompanying mentor’s guide which provides guidance for the mentor by highlighting what they should be looking for when having discussions with the learner and how they can offer ongoing support.
Communication workshops
Difficult conversations

This social enterprise tailors highly interactive training for all health and social care professionals to inspire compassionate conversations where they really count. This training equips professionals with increased confidence, skills and knowledge to handle challenging conversations with patients and their families through serious illness and at the end of life. Common key issues covered: personalised care and support planning, legal documentation, capacity, advance care planning and DNACPR. Train the trainer programmes, supervision and coaching are available.
End-of-life care training (various topics)
Gold standard framework (GSF)

This organisation specialises in training for all clinical staff providing end-of-life care. It provides training through seminars, workshops, and DVDs on subjects such as advanced care planning, and do not attempt cardiopulmonary resuscitation (DNACPR). All of which align to Health Education England e-ELCA modules.
Quality end-of-life care for all (QELCA)
St Christopher's Hospice
The QELCA programme enables and empowers teams of health and social care practitioners from acute, community or care home settings to lead on the delivery of high quality care to patients and families at the end of life. There is evidence that QELCA also motivates participants to introduce and lead culture change in their organisations. It integrates a work-based learning experience with facilitated classroom reflection and the model is designed to be delivered by specialist clinicians who have undertaken the QELCA train the trainers programme.
Sage and thyme
University Hospital of South Manchester NHS Foundation Trust

This three-hour workshop, teaches up to 30 delegates to effectively communicate to people in distress. It looks at how to use a structured approach to getting in and out of a conversation with someone who is upset or has concerns, while providing basic psychological support. The workshop uses a mix of small group work, lectures and rehearsals.

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